Santa Rosa Orthopaedic Medical Group, Inc.

LBN: Santa Rosa Orthopaedic Medical Group, Inc.
Santa Rosa Orthopaedic Medical Group, Inc. is an health care organization with primary practice located at 1405 Montgomery Dr , Santa Rosa CA 95405-4557. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Santa Rosa Orthopaedic Medical Group, Inc. can be contacted via phone (707) 546-1922, or through Brophy, Alicia via phone (707) 546-1922.

Contact Information

Primary practice address
1405 Montgomery Dr Santa Rosa CA 95405-4557
Phone: (707) 546-1922
Fax: (707) 546-1897
Website:
Map and Directions
Authorized official contact:
Name: Brophy, Alicia
Phone: (707) 546-1922

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X

Profile Details

NPI number 1518907336
LBN Legal business name Santa Rosa Orthopaedic Medical Group, Inc.
DBA Doing business as
Authorized official Brophy, Alicia
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 14th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518907336 NPPES
California Other 379618500 US DEPT OF LABOR (OWCP)
California Other ZZZ92332Z US DEPT OF LABOR (OWCP)
California MEDICAID GR0012520 US DEPT OF LABOR (OWCP)
California Other 0166366 US DEPT OF LABOR (OWCP)
California Other 1518907336 US DEPT OF LABOR (OWCP)

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